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In addition, not all states use the "EMT" prefix for all levels (e.g. Texas uses EMT-Paramedic and Licensed Paramedic). Finally, some states have levels that have partially been phased out. While no new certifications are provided at this level, providers can sometimes be grandfathered in provided they meet recertification requirements.
The United States EMS Compact, officially known as the Recognition of EMS Personnel Licensure Interstate CompAct (REPLICA), is an interstate compact designed to facilitate the day-to-day practice of Emergency Medical Services personnel across state lines. The Compact provides a framework for states to extend a "privilege to practice" for ...
EMT-I/85 is a level of EMT-I training formulated by the National Registry of Emergency Medical Technicians in 1985. This training level includes more invasive procedures than are covered at the EMT-Basic level, including IV therapy, the use of advanced airway devices, and provides for advanced assessment skills.
As of 2006, 39 US states utilize the NREMT EMT exam as part of the state licensing and/or certification procedure. [12] Once certified, EMTs are required to obtain continuing education hours to recertify. Recertification requirements vary from state to state.
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The training, knowledge base, and skill sets of both paramedics and emergency medical technicians (both competed for the job title, and 'EMT-Paramedic' was a common compromise) were typically determined by what local medical directors were comfortable with, what it was felt that the community needed, and what could actually be afforded.
EMR training is intended to fill the gap between first aid and EMT. The American Red Cross conducts a course titled "emergency medical response" that fits this definition. In the US the term "emergency medical responder" has largely replaced the term "certified first responder" or "medical first responder" beginning in 2012.
EMS delivery in the US can be based on various models. While most services are, to some degree, publicly funded, the factor which often differentiates services is the manner in which they are operated. EMS systems may be directly operated by the community, or they may fall to a third-party provider, such as a private company. [2]
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